Organization
ASHMAN OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYNDE M ASHMAN OD (OPTOMETRIST)
(765) 288-7744
Entity
Organization
Contact information
Practice address
4801 W BETHEL AVE, MUNCIE, IN 47304-5510
(765) 288-7744
(765) 282-0741
Mailing address
4801 W BETHEL AVE, MUNCIE, IN 47304-5510
(765) 288-7744
(765) 282-0741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294930A
—
IN
Enumeration date
05/04/2021
Last updated
05/04/2021
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